<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('手机号')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" data-rule="required" class="form-control"  name="row[mobile]" type="number" value="">
        </div>
    </div>
   <!-- <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('积分')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-score" data-rule="required" class="form-control"  name="row[score]" type="number" value="">
        </div>
    </div>-->
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('姓名')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-nickname" data-rule="required" class="form-control"  name="row[nickname]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
